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Sodium channel protein type 10 subunit alpha-Membrane-associated guanylate kinase, WW and PDZ domain-containing protein 1 complex (NaV1.8-MAGI1 complex)

Target
NaV1.8-MAGI1 complex
Molecular classification
Ion channel complex, Scaffolding protein complex, Protein-protein interaction complex
01

Overview

The NaV1.8-MAGI1 complex is a functional protein assembly comprising the voltage-gated sodium channel NaV1.8 (encoded by SCN10A) and the scaffolding protein MAGI1 (Membrane-associated guanylate kinase, WW and PDZ domain-containing protein 1) [UniProt: Q9Y5Y9, Q96OT2]. NaV1.8 is primarily expressed in the nociceptive neurons of the dorsal root ganglia, where it plays a pivotal role in the initiation and maintenance of action potentials in response to painful stimuli [PubMed: 25153124]. The interaction is mediated by the C-terminal PDZ-binding motif of NaV1.8 and the PDZ domains of MAGI1, which is essential for the proper trafficking, membrane stabilization, and surface density of the channel [PubMed: 17434478]. This complex is a critical regulator of neuronal excitability, and its disruption or overactivity is strongly associated with chronic pain states, including neuropathic and inflammatory pain [PubMed: 30232205]. While current clinical candidates like Suzetrigine (VX-548) act as direct inhibitors of the NaV1.8 channel pore, the NaV1.8-MAGI1 interaction represents a novel therapeutic site for modulating channel function by targeting its regulatory scaffolding [ClinicalTrials.gov: NCT05086159]. Pharmacological modulation of this complex could potentially provide a more targeted approach to pain management with fewer side effects than non-selective sodium channel blockers.

Other names
SCN10A-MAGI1 complexNaV1.8-MAGI-1 complexSodium channel protein type 10 subunit alpha-MAGI1 complexNaV1.8-MAGI1 interaction
02

Mechanism of action

Voltage-gated sodium channel inhibition

03

Biological functions

Signal transductionIon transportNociceptionProtein traffickingMembrane stabilization
04

Disease associations

Chronic painNeuropathic painInflammatory painSmall fiber neuropathy
05

Safety considerations

Potential for altered peripheral sensation (paresthesia)Off-target effects if MAGI1 interactions with other signaling proteins are disruptedSelectivity requirements to avoid cardiac (NaV1.5) or CNS (NaV1.1/1.2) toxicity
06

Interacting drugs

Suzetrigine (VX-548)

3 more in the full profile.

07

Biomarkers

SCN10A mRNA expression levels in skin biopsiesNaV1.8 protein density in dorsal root gangliaQuantitative sensory testing (QST) profilesPain intensity scores (VAS/NRS)

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